4Reduction and preliminary fixation of the tuberosities

Place rotator cuff sutures

Subscapularis and supraspinatus tendon

Begin by inserting sutures into the subscapularis tendon (1) and the supraspinatus tendon (2). Place these sutures just close to the tendon’s bony insertions. These provide anchors for reduction, and temporary fixation of the greater and lesser tuberosities.